Provider Demographics
NPI:1952284804
Name:SMEAL, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:SMEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 PHOENIX ST
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1069
Mailing Address - Country:US
Mailing Address - Phone:814-577-6693
Mailing Address - Fax:
Practice Address - Street 1:400 N FAIRVIEW ST
Practice Address - Street 2:LOCK HAVEN UNIVERSITY
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745
Practice Address - Country:US
Practice Address - Phone:814-577-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program